Hip Microinstability: Diagnose It FAST With KEY Tests Every PT Must Know

By dpope2020

September 12, 2025

abduction hyperextension er test, anterior apprehension, anterior apprehension test, dan pope, FAI, fitness pain free, hip, hip dysplasia, hip impingement, hip joint, hip microinstability, hip mobility exercises, hip pain, hyperextension external rotation, labral tear, microinstability of the hip, objective testing - rom, physical exam hip microinstability, physical therapy, physiotherapy, prone instability test, ROM, surgery

Hip Microinstability: Diagnose It FAST With KEY Tests Every PT Must Know

To go along with today's video I have a nice infographic to share...

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In today's video we go over: Hip Microinstability: Diagnose It FAST With KEY Tests Every PT Must Know

Struggling to identify hip microinstability in your patients? This video breaks down the evidence-based approach to diagnosing hip microinstability, so you can treat it accurately and confidently.

We cover:

✅ Key populations & sports at risk (gymnastics, ballet, golf, and more)

✅ Mechanism of injury & ligament laxity

✅ Signs, symptoms, and patient presentation

✅ Range of motion measurements linked to microinstability

✅ Step-by-step special tests: Hyperextension External Rotation Test, Prone Instability Test, and more

✅ Differential diagnosis: FAI, hip dysplasia, arthritis

If you want to level up your hip assessment skills and treat patients with confidence, this video is a must-watch!

TIMELINE

  • 0:00 - Intro
  • 0:12 - What is Hip Microinstability?
  • 0:23 - Common Populations
  • 2:39 - Mechanism of Injury
  • 3:15 - Clinical Presentation
  • 4:05 - Associated Disorders
  • 4:18 - Objective Testing - ROM
  • 5:02 - Hyperextension External Rotation (Anterior Apprehension) Test
  • 5:44 - Prone Instability Test
  • 6:10 - Abduction Hyperextension ER Test
  • 6:37 - Final Thoughts

Uh oh, unstable!

- Dan Pope DPT,OCS,CSCS

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Khanduja V, Darby N, O'Donnell J, Bonin N, Safran MR; International Microinstability Expert Panel. Diagnosing Hip Microinstability: an international consensus study using the Delphi methodology. Knee Surg Sports Traumatol Arthrosc. 2023 Jan;31(1):40-49. doi: 10.1007/s00167-022-06933-4. Epub 2022 Apr 30. PMID: 35499620; PMCID: PMC9859907.